BROOKE K WAGNER Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146009517

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

WAGNER

Business Name

BROOKE K WAGNER

Original Issue Date

07/25/2008

Effective Date

09/16/2015

Expiration Date

10/31/2017

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/04/2018